Provider Network Executive III

Workforce Classification:

Hybrid

Join Our Team: Do Meaningful Work and Improve People’s Lives 

Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.

To better serve our customers, we are fostering a culture that emphasizes employee growth, collaborative innovation, and inspired leadership. We are dedicated to creating an environment where employees can excel and where top talent is attracted, retained, and thrives. As a testament to these efforts, Premera has been recognized on the 2025 America's Dream Employers list. In 2024, Newsweek honored Premera as one of America's Greatest Workplaces, America's Greatest Workplaces for Diversity, and America's Greatest Workplaces for Mental Wellbeing. Additionally in 2024, Forbes ranked Premera among America’s Best Midsize Employers for the fourth time.

Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog:  https://healthsource.premera.com/.

As the Provider Network Executive III, you will develop and maintains effective relationships with strategic or core provider accounts, generally custom or complex in nature, to achieve Premera’s operational and strategic goals, product development strategies, and continuity of Premera’s vision and values. This position negotiates standard to complex agreements, often with innovative funding arrangements, and manages ongoing provider relationships.

What you’ll do:

• Develop and execute ongoing account management and service strategy to meet corporate strategic / financial objectives.
• Serve as main point of contact for the provider and coordinate all Premera interactions with assigned provider accounts.
• Build and maintain positive physician/provider relationships, generally with more complex accounts. Utilize consultative skills, industry knowledge, and Premera product knowledge to foster a collaborative approach to quality care, network stability and cost containment. Monitor and analyze network performance.
• Develop and maintain effective provider networks (standard and custom), often with complex payment methodologies. Participate in payment and delivery systems innovation initiatives.
• Lead negotiation and implementation of complex or custom provider contracts.
• Complete negotiations within preplanned rate targets, meet timelines, ensure the established implementation period and perform implementation audits for accuracy of assigned accounts.
• Collaborate with Healthcare Economics in rate development and proposal analysis.
• Establish and lead a multi-disciplinary team to provide operationally excellent service and support to assigned accounts.
• Consult and educate assigned accounts and internal stakeholders, providing industry and cross account expertise. Create provider specific and public presentations.
• Proactively communicate with Provider Strategy & Solutions (PS&S) leadership and internal stakeholders on account status to facilitate proper internal support of account management efforts to ensure that the resulting final contract supports Premera's operational and strategic goals.
• Engage providers to promote the concept and understanding of patient engagement adherence, cost savings preventative programs
• May also be the lead for PNE team in resolution of escalated provider concerns/issues, distribution of workload, and provide peer review for contract accuracy.  May develop or improve work processes to increase team efficiency.
   

What you’ll bring:

• Bachelor’s degree or (4) years of experience in a provider or payer environment (Required)
• (4) years of experience in payer or provider contracting and managing provider relationships in health care or insurance industry including (2) years of experience negotiating contracts (Required)
• Knowledge of network development and provider/vendor network recruitment.
• Knowledge of provider community and market anomalies.
• Demonstrated ability to effectively manage complex contract negotiations.
• Demonstrated ability to develop and execute strategy.
• Strong experience and expertise in Provider Relations.
• Independent work style, self-motivated, with ability to lead with minimal direction.
• Strong analytical skills and problem-solving skills.
• Ability to work under pressure with tight timelines, limited resources, competing priorities and manage specific project timelines.

Premera total rewards

Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:

• Medical, vision, and dental coverage with low employee premiums.

• Voluntary benefit offerings, including pet insurance for paw parents.

• Life and disability insurance.

• Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.

• Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.

• Generous paid time off to reenergize.

• Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.

• Employee recognition program to celebrate anniversaries, team accomplishments, and more.

For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.

• Commuter perks make your trip to work less impactful on the environment and your wallet.

• Free convenient on-site parking.

• Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.

• Engaging on-site events and activities include food trucks, health and wellness, DEI and disaster preparedness fairs, coffee connects, and more.

• Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.

• Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.

Equal employment opportunity/affirmative action:

Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.

If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at [email protected] or via phone at 425-918-4785.

The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience.

The salary range for this role is posted below; we generally target up to and around the midpoint of the range.

National Plus Salary Range:

$90,000.00 - $153,000.00

*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.

We’re happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We’re committed to creating a diverse and inclusive environment where all employees are celebrated for their unique skills and contributions.